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Ohio rates for HCPCS 99224

Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.

Facilitymedian $1,514 · 10th–90th $1,000$1,6600%20%10th90th$1,514Professionalmedian $45 · 10th–90th $28$590%10%10th90th$45$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,513.56 / $1,659.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $58.88